Individual
BRENDAN PROCTOR JAMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-9200
(520) 533-5246
Mailing address
1620 BISSEL AVE, FORT HUACHUCA, AZ 85613-5072
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-04356
KS
Other
Enumeration date
06/23/2025
Last updated
07/01/2025
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